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73-18-14 TOM D. CLARK E/S pri rd, app 125' N Oro Forbes ' d, app -700"--E New -York--Flat--Rd,- Forbestown Permit #6822-78E(new ele ser) SF NMI COUNTY OF BUTTE — 'DEPA`RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 `/✓ ,( ! '] APPLICATION AND PERMIT BUILDING Owner M A rh /01 SO. FT. OCC. BUILDING VALUATION Mailing Address -3 414 Telephone Na. Contractor�� Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address / /S ��, ��''� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE 00 0v Wi !.t•tl"7 5F�� PERMIT FILING FEE $3.00 Each Trap 1.50 r Repair drainage or vent piping 1.50 G A. P. No. �lp "� �� Zong & P-lanning Water piping 1.50 , Each gas water heater or vent 1.50 F,ees- WRC#'-IC I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I roval I Plans Approval Lawn sprinkler system 2.00 _EZ:Z!LAEp NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®' Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3�C70 Main service 600V OR LESS 100 AMP OR LESS 5.00 roo Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 7i� 20sgft` OR AODNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET 1 NON.RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occun OUTLETS OR FIXTIIRES B L 1@ 04 Ex. Occup.(0 WETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑°I am exempt from the Contractors License Laws of the State of California. Permit Fee $ P.UO $ $ !JV MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware o1 the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. • �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 I Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE$ authorize representatives oT the County oT Butte to enter upon the above-mentioned property for inspection purposes. X _7 4,Date t f. r$ignaTre of PPermitee or Agent Receipt No. /d �(3 `-? A White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid) DIRECTOR, OF, PU-BLIC WORKS ;M v _Date Bu'Iding permit expires Date // 2Z - .FO RBES T 0 WN T..19N.R.6 E ' A 17] •;:_.. • R - to 66.4 ac / '9 50 N 890 4,'44"F_ a - i •J CENTS -CNJ °it n-. 98 1 i �. p 89 ° 58 05 W SEC. 4.3. 76 A� 78. �. X26 !. `, Al a 'v, '�'1, ^ • /0 / 1 . C;.� Li` •� �..� Ai NI ,1 ,q ? - •7 \ �y J335 yi/ ons•79 :-341 � --.i.. - 3b'�' �^ �l� - 119, l ,.. ► t�� zg - 75 , 33 < , �.la o�c��<< ;. W`�-- ri i >'`J E 33l i •C •r. . " f` G i �c F/M `5-56 �. 2I' eF� 9) c4l tr 441- 30, i % -: \ 1 - S < <: _ •-._�� '�. ` 9 2 9:: �� f 14:t' ,� �i _� ^ a(� 149.34 . 1-2 157i ' Ss 6G 3.06 4 ZIO 3.36 AC /21I ( a 112. - 3- �1 62 �'�: bo Co. Wtr. Dist. _�9 141. • � �6 � ` 3.3! �'N 3.'35 — ._._--�--•I. ,9�3I�--- 3�;9.C4 �' '� � ;�,� • < .✓ i 1 J1.3 i f= 4/ C.o.rw.w�.-ter-� _ - — _.w.�.. _.s•.r. .._+.m.af� ar �. - a.*+ea..�.rR.�.._..__ x. . _ 1 bol C-4AI41< l ,5Z�✓ ? c F, -� COUNTY OF BUTTE — DEPARVMENT OF PUBLIC KS , 7 County Center Drive — Oroville, California 95965 ac� ��� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 00 X Date Signat re cf Permitee or Agent Receipt No. `ep�(344n-a - White-D.P.W. -Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTO F P LIC WORKS By Date_/%� I ding permit expires Date /- BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address (oelefon.uco Contractor AFireplace Mailing Address Total Valuation Telephone No. Permit Fee Building Address S Plan Checking Fee&/or Penalty Permit Fee a5 PLUMBING No. @ FEE ©O t PERMIT FILING FEE $3.00 Each Trap 1.50 �j Repair drainage or vent piping 1.50 A. P. No. o Z g nning a Water piping 1.50 Each gas water heater or vent 1.50 SaPke+ron Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ d ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ?3000 Main service 0V OR LE 100 AMP ORSLESS 5.00 �P,00 Single Family i Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBL GS LING 0 CCUP. 4) :20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTP_ MULTI.OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS a NON.R ESI D. ,SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIRES g L�j FIXED APPLNS. OR Ex. Occup.OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ x�f10 $ OQ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatina to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ �d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 00 X Date Signat re cf Permitee or Agent Receipt No. `ep�(344n-a - White-D.P.W. -Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTO F P LIC WORKS By Date_/%� I ding permit expires Date /-